*Attached herewith are the following:
[ ] Two (2) recent 2 X 2 color photo;
[ ] Photocopy of valid PRC-issued Certificate of Registration and PRC-issued
Professional Identification Card (Originals thereof to be presented upon filing,
for comparison as faithful reproduction);
[ ] Photocopy Letter of Engagement / Employment signed by an HLURB-registered
Dealer or Broker;
[ ] Photocopy of the Bond or Security (Original copy to be presented upon filing,
for comparison as faithful reproduction); and
[ ] Photocopy of the Official Receipt.
Have you ever been convicted of any crime involving a penalty of more than six (6) months
imprisonment? If yes, state the nature:
______________________________________________________________________
______________________________________________________________________